Is it safe to try IVF at 42 after chemo for breast cancer?

Question

Hello doctor,

I am 42 years old and was diagnosed with stage 2 breast cancer during my first trimester. I chose to terminate the pregnancy and started AC chemotherapy. I am now experiencing severe depression and anxiety, with panic attacks during infusions the last time, my blood pressure spiked to 190/110 mm of Hg.

After the second cycle, I developed shingles and am currently on antivirals. I have also noticed vision changes and balance issues. My psychiatrist prescribed Prozac, but I read that it may interfere with Tamoxifen later. I feel guilty about the termination and fear infertility after treatment.

Are there any success stories of pregnancy after chemotherapy?
Would it be safe to try IVF in the future?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I acknowledge your concerns and the emotional challenges that you are going through.

Emotional well-being:

Depression and anxiety: Prioritizing your mental health is crucial. Continue therapy and explore counseling options to help you manage feelings of guilt and emotional distress.
Panic attacks during infusions: Inform your oncologist (cancer specialist) about your anxiety (excessive worry) episodes during treatments. They can guide you in developing strategies to ease your distress.

Medication interactions:

Prozac (Fluoxetine) and Tamoxifen: Discuss with both your psychiatrist and oncologist the potential interaction between Prozac (Fluoxetine) and Tamoxifen. They can help you consider alternative antidepressants if necessary.

Fertility concerns:

Pregnancy after chemotherapy: While chemotherapy can impact fertility, many women have successfully conceived after treatment. Discuss your options with a specialist.
Considering IVF: If you are exploring in vitro fertilization (IVF), it is a fertility treatment where eggs are retrieved from the ovaries, fertilized with sperm in a lab, and then implanted into the uterus. Consult a fertility specialist to understand the risks and success rates and the best approach for your situation.

Physical symptoms:

Shingles and antivirals: Adhere to your prescribed antiviral regimen to manage shingles effectively.
Vision changes and balance issues: Report these symptoms to your oncologist, as they could be linked to chemotherapy or other underlying conditions.

Next steps:

Comprehensive care team: Ensure that your team includes oncologists, psychiatrists, and fertility specialists to support both your physical and emotional well-being.
Fertility preservation: Explore options like egg freezing with a fertility specialist if you are considering future pregnancy.
Support networks: Connecting with support groups for women facing breast cancer and fertility challenges can provide comfort, shared experiences, and encouragement.

You are not alone in this journey. Stay strong, and remember that there are resources and support available to help you.

I hope this helps.

Please revert so I can assist you further.

Thank you.